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General NPI Number Information
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NPI Number | 1679402804
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Entity Type | Organization
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Legal Business Name | LIVING WELLZ FOUNDATION INC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 900 BARROWS FERRY RD NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-8520
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Country | US
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Telephone | 347-283-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 900 BARROWS FERRY RD NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-8520
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Country | US
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Telephone | 347-283-2880
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. HANANIAH JOEL NICHOLAS
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Credential |
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Telephone | 347-283-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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